Atomoxetine

Zamkati

• Musanamwe atomoxetine,
• Atomoxetine imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZOCHITIKA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Kafukufuku wasonyeza kuti ana ndi achinyamata omwe ali ndi vuto la kuchepa kwa chidwi (ADHD; zovuta kwambiri kuyang'ana, kuwongolera zochita, ndikukhala chete kapena chete kuposa anthu ena amsinkhu womwewo) omwe amatenga atomoxetine amatha kuganiza zodzipha okha kuposa ana ndi achinyamata omwe ali ndi ADHD omwe samamwa atomoxetine.

Mwana wanu akamamwa atomoxetine, muyenera kuyang'anitsitsa machitidwe ake mosamala, makamaka kumayambiriro kwa chithandizo ndipo nthawi iliyonse kuchuluka kwake kumawonjezeka kapena kutsika. Mwana wanu amatha kukhala ndi zizindikilo zowopsa mwadzidzidzi, chifukwa chake ndikofunikira kumayang'anira machitidwe ake tsiku lililonse. Funsani anthu ena omwe amakhala nthawi yayitali ndi mwana wanu, monga abale, alongo, ndi aphunzitsi kuti akuuzeni ngati akuwona kusintha kwamakhalidwe a mwana wanu. Itanani dokotala wa mwana wanu nthawi yomweyo ngati mwana wanu akukumana ndi izi: kuchita zocheperako kapena kudzipatula kuposa masiku onse; kudzimva wopanda thandizo, wopanda chiyembekezo, kapena wopanda pake; kukhumudwa kwatsopano kapena kukulira; kuganiza kapena kulankhula zovulaza kapena kudzipha- kapena kukonzekera kapena kuyesa kutero; kuda nkhawa kwambiri; kusakhazikika; mantha; zovuta kugona kapena kugona; kukwiya; nkhanza kapena nkhanza; kuchita mosaganizira; kuwonjezeka kwakukulu kwa ntchito kapena kuyankhula; kukwiya, chisangalalo chachilendo; kapena kusintha kulikonse mwadzidzidzi kapena kosazolowereka pamakhalidwe.

Dokotala wa mwana wanu adzafuna kuwona mwana wanu nthawi zambiri pamene akumwa atomoxetine, makamaka kumayambiriro kwa chithandizo chake. Dokotala wa mwana wanu angafunenso kulankhula nanu kapena mwana wanu patelefoni nthawi ndi nthawi. Onetsetsani kuti mwana wanu amasunga nthawi yonse yopita ku ofesi kapena kukambirana pafoni ndi dokotala wake.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi atomoxetine ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) kapena tsamba laopanga kuti mupeze Chithandizo cha Mankhwala.

Lankhulani ndi dokotala wanu za kuopsa kopatsa atomoxetine kwa mwana wanu, kugwiritsa ntchito mankhwala ena pamatenda a mwana wanu, komanso kusachiza matenda amwana wanu.

Atomoxetine imagwiritsidwa ntchito ngati gawo la pulogalamu yonse yamankhwala kuti iwonjezere kuthekera kochepetsa chidwi komanso kuchepa kwa chidwi kwa ana ndi akulu omwe ali ndi ADHD. Atomoxetine ali mgulu la mankhwala otchedwa norepinephrine reuptake inhibitors. Zimagwira ntchito poonjezera milingo ya norepinephrine, chinthu chachilengedwe muubongo chomwe chimafunikira kuwongolera machitidwe.

Atomoxetine amabwera ngati kapisozi woti amwe pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku m'mawa, kapena kawiri patsiku m'mawa komanso madzulo kapena kumadzulo. Atomoxetine itha kumwa kapena popanda chakudya. Tengani atomoxetine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani atomoxetine ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi atomoxetine lonse; osatsegula, kutafuna, kapena kuwaphwanya. Ngati kapisozi wasweka mwangozi kapena watsegulidwa, tsukani ufa wosalala ndi madzi nthawi yomweyo. Yesetsani kuti musakhudze ufa ndipo samalani kuti musatenge ufa m'maso mwanu. Ngati mupeza ufa m'maso mwanu, tsukutsani ndi madzi nthawi yomweyo ndikuyimbira dokotala.

Dokotala wanu mwina angakuyambitseni pamlingo wochepa wa atomoxetine ndikuwonjezera mlingo wanu pakatha masiku osachepera atatu. Dokotala wanu akhoza kuwonjezera mlingo wanu kachiwiri pakatha masabata 2-4. Mutha kuwona kusintha kwa zizindikilo zanu sabata yoyamba yamankhwala anu, koma zimatha kutenga mwezi umodzi kuti mumve bwino atomoxetine.

Atomoxetine itha kuthandizira kuwongolera zizindikiritso za ADHD koma sizingachiritse vutoli. Pitirizani kumwa atomoxetine ngakhale mukumva bwino. Osasiya kumwa atomoxetine osalankhula ndi dokotala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanamwe atomoxetine,

• uzani dokotala ndi wamankhwala ngati muli ndi vuto la atomoxetine, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a atomoxetine.
• uzani dokotala ngati mukumwa mankhwala a monoamine oxidase (MAO), kuphatikizapo isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), ndi tranylcypromine (Parnate), kapena ngati mwasiya kuwamwa m'mbuyomu Masabata awiri. Dokotala wanu angakuuzeni kuti musamwe atomoxetine. Mukasiya kumwa atomoxetine, muyenera kudikirira masabata osachepera 2 musanayambe kumwa MAO inhibitor.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: albuterol manyuchi kapena mapiritsi (Proventil, Ventolin), amiodarone (Cordarone, Pacerone), bupropion (Wellbutrin), chlorpheniramine (antihistamine m'mankhwala ozizira), cimetidine (Tagamet), clomipramine (Anafranil), fluoxetine (Prozac, Sarafem), haloperidol (Haldol), mankhwala a metaproterenol kapena mapiritsi, mankhwala a kuthamanga kwa magazi, methadone (Dolophine), metoclopramide (Reglan), nefazodone, paroxetine (Paxil), quinidine, ritonavir (Norvir), ndi sertraline (Zoloft ). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo ndi glaucoma (matenda amaso omwe angayambitse masomphenya), kapena pheochromocytoma (chotupa pa kanthimba kakang'ono pafupi ndi impso). Dokotala wanu angakuuzeni kuti musamwe atomoxetine.
• auzeni adotolo ngati wina m'banja mwanu wagundidwa kapena wamwalira mwadzidzidzi. Uzani dokotala wanu ngati mwangoyamba kumene kudwala matenda a mtima ndipo ngati mwakhala ndi vuto la mtima kapena muli ndi vuto la mtima, kuthamanga kwa magazi, kugunda kwa mtima kosasinthasintha, kuuma kwa mitsempha, matenda a mtima kapena mitsempha yamagazi, kapena mavuto ena amtima. Dokotala wanu amakupimitsani kuti muwone ngati mtima wanu ndi mitsempha yamagazi ili yathanzi. Dokotala wanu angakuuzeni kuti musamwe atomoxetine ngati muli ndi vuto la mtima kapena ngati muli pachiwopsezo chachikulu kuti mutha kukhala ndi vuto la mtima.
• auzeni adotolo ngati inu kapena wina aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi vuto la kupsinjika, matenda ochititsa munthu kusinthasintha zochitika (manic depression disorder; vuto lomwe limayambitsa magawo azokhumudwa, magawo okondwerera, chisangalalo chosazolowereka ndimikhalidwe ina yachilendo), kapena adaganizirapo kapena anayesa kudzipha.Komanso muuzeni dokotala ngati mwakhalapo kapena munagwapo, kapena matenda a chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga atomoxetine, itanani dokotala wanu.
• muyenera kudziwa kuti atomoxetine imatha kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti atomoxetine imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukaimirira mwachangu pamalo abodza. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
• muyenera kudziwa kuti atomoxetine iyenera kugwiritsidwa ntchito ngati gawo la pulogalamu yonse ya chithandizo cha ADHD, yomwe ingaphatikizepo upangiri ndi maphunziro apadera. Onetsetsani kuti mukutsatira malangizo onse a dokotala komanso / kapena othandizira.
• muyenera kudziwa kuti kuthamanga kwa magazi kwanu kumatha kuchulukanso mukamalandira atomoxetine. Dokotala wanu adzayang'anira kuthamanga kwa magazi anu mukamalandira chithandizo.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya. Musatenge zochuluka kuposa kuchuluka kwa tsiku ndi tsiku kwa atomoxetine m'maola 24.

Atomoxetine imatha kubweretsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kutentha pa chifuwa
• nseru
• kusanza
• kusowa chilakolako
• kuonda
• kudzimbidwa
• kupweteka m'mimba
• mpweya
• pakamwa pouma
• kutopa kwambiri
• chizungulire
• mutu
• kusinthasintha
• kuchepa kuyendetsa kugonana kapena kuthekera
• kuvuta kukodza
• msambo wopweteka kapena wosasamba
• kupweteka kwa minofu
• thukuta
• kutentha kotentha
• maloto achilendo
• kutentha kapena kumva kulasalasa m'manja, mikono, mapazi, kapena miyendo

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, kapena zomwe zalembedwa mu CHENJEZO CHENJEZO kapena ZOCHITIKA ZOCHITIKA, itanani dokotala wanu mwachangu:

• kuthamanga kapena kugunda kwamtima
• kupweteka pachifuwa
• kupuma movutikira
• mawu odekha kapena ovuta
• chizungulire kapena kukomoka
• kufooka kapena kufooka kwa mkono kapena mwendo
• khungu loyabwa
• mkodzo wakuda
• chikasu cha khungu lanu kapena maso
• zizindikiro ngati chimfine
• ululu kumtunda chakumanja kwa m'mimba mwanu
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• zovuta kumeza kapena kupuma
• ming'oma
• zidzolo
• malingaliro achilendo
• kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
• erection yomwe imatenga maola angapo kapena kupitilira apo
• kugwidwa

Atomoxetine imachedwetsa kukula kwa ana kapena kunenepa. Dokotala wa mwana wanu mwina adzayang'anira mwana wanu mosamala panthawi ya chithandizo chake ndi atomoxetine. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopereka mankhwalawa kwa mwana wanu.

Atomoxetine imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• kugona
• kubvutika
• kuwonjezeka kwa ntchito kapena kuyankhula
• khalidwe losazolowereka
• mavuto am'mimba
• ophunzira ambiri (mabwalo akuda pakati pa maso)
• kugunda kwamtima mwachangu
• pakamwa pouma

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu limayankhira atomoxetine.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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